Provider Demographics
NPI:1679246276
Name:NAZIM MERCHANT MD PA
Entity Type:Organization
Organization Name:NAZIM MERCHANT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-447-7100
Mailing Address - Street 1:14015 EGRET TOWER DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6197
Mailing Address - Country:US
Mailing Address - Phone:407-447-7100
Mailing Address - Fax:407-447-6100
Practice Address - Street 1:14015 EGRET TOWER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6197
Practice Address - Country:US
Practice Address - Phone:407-447-7100
Practice Address - Fax:407-447-6100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NAZIM MERCHANT MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty